Individual
MEYYAPPAN SOMASUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 ROCKSIDE RD, SUITE 100, INDEPENDENCE, OH 44131-2358
(216) 328-0418
(216) 328-0847
Mailing address
PO BOX 932127, CLEVELAND, OH 44193-0008
(216) 328-0418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110178488
RR MEDICARE
OH
05
—
2060844
—
OH
Enumeration date
10/19/2005
Last updated
02/03/2021
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